| Jay Paul Douglass Md Llc | |
|
6464 Sw Borland Rd Ste C1 Tualatin OR 97062-8856 | |
| (503) 635-6256 | |
| (503) 636-9604 |
| Full Name | Jay Paul Douglass Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6464 Sw Borland Rd Ste C1, Tualatin, Oregon |
| Authorized Official Name and Position | Jay Paul Douglass (MEMBER) |
| Authorized Official Contact | 5036356256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Paul Douglass Md Llc 6464 Sw Borland Rd Ste C1 Tualatin OR 97062-8856 Ph: (503) 635-6256 | Jay Paul Douglass Md Llc 6464 Sw Borland Rd Ste C1 Tualatin OR 97062-8856 Ph: (503) 635-6256 |
| NPI Number | 1578849360 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 07/15/2024 |
| Medicare PECOS PAC ID | 4183883176 |
|---|---|
| Medicare Enrollment ID | O20120312000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578849360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD153785 (Oregon) | Primary |
| Provider Name | Jay Paul W Douglass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477714491 PECOS PAC ID: 2961673827 Enrollment ID: I20110926000483 |
Gps Ii Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5402 Sw Joshua St, Tualatin, OR 97062 Phone: 503-201-9811 | |
Michael P. Gardner, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19260 Sw 65th Ave Ste 310, Tualatin, OR 97062 Phone: 503-692-1200 Fax: 503-692-1220 | |
Tualatin Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6485 Sw Borland Rd Ste B, Tualatin, OR 97062 Phone: 503-272-8825 Fax: 503-427-9321 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Sw Hazelbrook Rd, Tualatin, OR 97062 Phone: 503-431-5100 | |
Legacy Meridian Park Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Jimmy Huebert Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D2, Tualatin, OR 97062 Phone: 503-885-8008 Fax: 503-885-8002 | |
Frank S. Rosenbloom, M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd, Suite B2, Tualatin, OR 97062 Phone: 503-692-5250 Fax: 503-612-0573 |